• Brow and Beauty Ink Beauty Studio

    Brow and Beauty Ink Consent Form

    Semi-Permanent Brow Tattoo
  • Upload a File
    Cancelof
  •  
  •  
  • Eyebrow Photos

    Please take a close-up photo of each of the views requested below and upload them in the appropriate file upload
  • Upload a File
    Cancelof
  • Upload a File
    Cancelof
  • Upload a File
    Cancelof
  • General Procedure Statements

    This is the process of inserting pigment into the basal layer of the epidermis. It is a form of tattooing, though semi-permanent, it is considered a permanent marking. Although Eyebrow tattooing is effective in most cases, no guarantee can be made that a specific client will benefit from the procedure a touch-up procedure is required

    A healing period of 6 to 8 weeks is required before any touch-up procedure can be performed. - Application of permanent cosmetics can be uncomfortable - All instruments that enter the skin or come in contact with body fluids are disposable, and disposed of after use. Cross contamination guidelines are strictly adhered to. -

    Immediately after the procedure, the pigment can be 30% to 50% darker than the desired result. - Initially the color will appear more vibrant or darker compared to the end result. Usually within 5-7 days the color will fade 40%-50%, soften and look more natural. The pigment is semi-permanent and will fade over time.

    There may be immediate or delayed allergic reaction to pigments. However, allergic reactions are extremely rare. - A negative allergy test result will not guarantee that you will not have an allergic reaction. - Infections can occur if aftercare is not followed. - Allergic reactions to anesthetics can occur. - There may be swelling and redness following the procedure. - You may experience minor bleeding.

    BROW TATTOOING IS NOT RECOMMENDED FOR ANYONE WHO IS OR HAS THE FOLLOWING: ​Sick with cold, flu, or sinus/respiratory infection (please reschedule your appointment and stay home to recover)Skin irritations including: sunburn, rash, eczema, shingles, acne, or psoriasis near the treated area Pregnant or nursing, Under age 18, Had Botox within 3 weeks from scheduled appointment, used Accutane in the past year, diabetes need to be in control, epilepsy, undergoing chemo, prone to keloid scarring, pacemaker or major heart, had problems, had an organ transplant, viral infections and or diseases, transmittable blood disease, HIV or Hepatitis, anyone who has consumed acetaminophen, ibuprofen, asprin, excessive amount of caffeine and/or alcohol with 24 hours of the procedure.

  • Clear
  • Cancellation and Payment Policy

    We are committed to providing all of our clients with exceptional care in a timely manner. For this reason, we have instituted a 48-hour cancellation policy for all appointments. We are aware that unforeseen circumstances occasionally force us to reschedule or cancel appointments. However, if you need to cancel or reschedule your appointment, we respectfully ask that you do so with at least 48 hours' notice. This enables us to offer the appointment time to a different client who could be in queue.

    For all cosmetic tattoo appointments, a 48-hour notice is required to cancel or reschedule your appointment; we ask that you please call; a voicemail, text, or email is sufficient. Should you fail to cancel or reschedule your appointment at least 48-hours prior your deposit will be forfeited and you will be required to pay another deposit to reschedule your appointment. The full balance of the scheduled service will be charged to the card on file for no-show, no call clients.

    If you are late, we reserve the right to cut your service, you will be charged for the service you booked, not the partial service. If you are more than 15-minutes late and we do not have enough time to perform the service due to timing, you will be charged in full.

    We value your cooperation and understanding in adhering to our cancellation policy. Our policy makes sure that our employees spend their time effectively and efficiently, which helps us reach our aim of giving all of our clients the finest possible service.

    Payment Policy

    Brow and Beauty Ink accepts all major Credit Cards, Debit Cards, Cash (exact), Cash App, and Venmo. No personal checks or money orders. The total balance will be due upon service completion.

    Refunds

    There are no refunds for any services.

     

  • Clear
  • General Consent & Procedure Permit

    1. I hereby authorize Tiera Myers of Brow and Beauty Ink to perform the microblading/Ombre brow treatment upon myself. If any unforeseen condition arises in the course of this procedure(s), calling in their judgement in addition to, or different from those now contemplated, I further request and authorize the technician to do whatever they deems advisable and necessary in the circumstances.

    2. I accept responsibility for determining the color, shape, and position of the permanent cosmetic procedure as agreed during the course of my consultation.

    3. I understand that an allergy test does not guarantee that  I will not have an allergic reaction to the pigment.

    4. I fully understand and accept that non-toxic pigments are used during the procedure and that the cosmetic enhancement achieved may fade in between 1-3 years.

    5. I have been informed that the highest standards of hygiene are met, and that sterile disposable needles, and pigment containers are used for each individual client, procedure and visit.

    6. I understand and accept that each procedure is a process requiring multiple applications of pigment to achieve desirable results and that 100% success cannot be guaranteed. I understand this is why I need to return for a retouch procedure.

    7. I understand that a retouch procedure will be performed 6-8 weeks after the initial procedure. After the 8 week period I will be charged an additional fee for any further work. I will book the appointment when it is convenient for both parties.

    8. The result of the procedure is determined by the following: - Medication - Skin Characteristics - (dry, oily, sun-damaged and thickness) - Natural skin undertones: blending with chosen pigment - excessive bleeding - Personal pH balance of skin, which changes from visit to visit - Alcohol intake and smoking - Rx and OTC medications - Post procedure care treatment

     9. Upon completion of the procedure there may be swelling and redness of the skin, which will subside in 1-4 days. In some cases bruising can occur. You may resume normal activities immediately following the procedure, however, using cosmetics, excessive perspiration wetting and exposure to the sun on the affected area should be limited. See specific post-procedure instructions for details. You can however, be assured the procedure, even after only one treatment, looks acceptable and you should feel comfortable appearing in public without additional makeup on the affected area.

    10. I have been advised that the true color will be seen 1 month after each procedure, and that the pigment may vary in color according to skin tones, skin type, age and skin conditions. I understand that some skins except pigment more readily than others and no guarantee to an exact effect or color can be given.

    11. To my knowledge I do not have any physical, mental, or medical impairment or disability that might affect my well being as a direct or indirect result of my decision to have the procedure done at this time. I am at least 18 years old and I am not under the influence of drugs or alcohol, pregnant or breastfeeding.

    12. I agree to follow all pre-procedure and post-procedure instructions as provided and explained to me by the technician.

    13. Being of sound mind and body, I hereby accept any and all responsibility myself for any consequence that might stem from my decision to have any permanent cosmetics procedure performed by Tiera Myers

  • Clear
  • Authorized Use Only

  • Browse Files
    Cancelof
  • Should be Empty: